Employee Benefits Broker Questionnaire Comparison Form



SAMPLE BROKER/CONSULTANT RFP

GENERAL INFORMATION

|Please respond briefly in the space provided | |

|Provide the history of your firm, particularly your employee | |

|benefits division. | |

| | |

|How many employees are there in your company? Generally, what are | |

|their job categories (e.g., management, sales, technical, customer| |

|service, etc.)? | |

|Who would be working directly with our company on administrative | |

|issues, questions, or problem solving? Please provide the roles | |

|and qualifications of each person. Also, include the number of | |

|clients each person is expected to handle and categorize these | |

|clients by large (500 or more), medium (100-500), or small (less | |

|than 100) group. | |

|Provide a count of your existing clients categorized by large (500| |

|or more), medium (100-500), or small (under 100) group. | |

| | |

|How many of your clients do you currently work with on a broker | |

|basis? How many of your clients do you currently work with on a | |

|consultant basis? | |

| | |

|Provide disclosure of the largest shareholders (in excess of 15%) | |

|in the company. | |

| | |

|Provide copies of your state agency license and certificate of | |

|professional liability or errors and omissions insurance carried | |

|by your company showing the insurance carrier and amount of | |

|coverage. | |

ACCOUNT SERVICES

|Please respond briefly in the space provided | |

|Describe your account services department. | |

| | |

| | |

|What is your process for ensuring customer satisfaction? | |

| | |

| | |

|What is the turnover rate of the employees that perform the bulk | |

|of the problem-solving administration within your organization? | |

|Categorize employee turnover according to the group sizes listed | |

|in questions 3 and 4 in the General Information section above. | |

|What kind of training (industry, internal, computer, other) does | |

|your firm expect or require your staff receive? | |

| | |

| | |

|Do you provide employee communication services for your clients’ | |

|employees? If so, please provide a general description of your | |

|capabilities. Please provide a sample employee communication | |

|materials that you have distributed to other clients. | |

|How can you assist in facilitating employee meetings? | |

| | |

|How do you help facilitate annual open enrollments? Include | |

|technology based approaches and identify additional costs. | |

| | |

| | |

DATA ANALYSIS

|Please respond briefly in the space provided | |

|What resources do you use to analyze medical and pharmacy claims? | |

| | |

|Do clients have access to the data for ad hoc claim queries? If | |

|so, please describe. | |

| | |

|Will your organization complete a provider analysis of physicians,| |

|clinics, and hospitals that treat our plan participants? | |

| | |

|Will your organization provide a wellness and preventive health | |

|analysis of our employees and claims experience? | |

| | |

|For any of the above questions that you answered yes, please | |

|provide us a sample report that you have prepared for another | |

|client. | |

|What is the average cost of customization or ad hoc reports? | |

| | |

STRATEGIC PLANNING/VENDOR SELECTION

|Please respond briefly in the space provided | |

|What resources do you have available to help us manage our | |

|benefits and outline a benefits strategy consistent with current | |

|and future business plans? | |

|How will you assist us with the competitive marketing and | |

|placement of our plans, including development of marketing | |

|specifications, identification of market conditions, evaluation of| |

|proposals, negotiations, and placement of insurance contracts for | |

|annual renewals? | |

|How is the risk transfer “rebidding” process handled? | |

| | |

|How are plan design changes proposed and handled? | |

| | |

|Furnish a list of insurance companies, third-party administrators,| |

|and other providers for which the consultant is an authorized | |

|agent or broker. | |

|How will you save our company money? | |

| | |

|How will you demonstrate the savings? | |

| | |

|How do you review PPO discounts and what is your criteria for | |

|recommending changes in network affiliations? | |

|How would your firm help us decide whether we should offer a | |

|cafeteria plan or modified flexible benefits program? | |

COST PROJECTIONS / ONGOING REVIEWS

|Please respond briefly in the space provided | |

|How can you help us develop cost projections tied to our fiscal | |

|goals? | |

| | |

|Who do you use for actuarial services? Please provide | |

|credentials. | |

|How will you help with the management of insurance, including | |

|monthly (or quarterly) supervision and/or preparation of claims | |

|activity reports from carriers; executive summary reports; | |

|underwriting analysis for annual renewals; annual financial | |

|projections for budgeting purposes; and alternative funding | |

|analyses? | |

LEGISLATIVE COMPLIANCE

|Please respond briefly in the space provided | |

|Do you have an in-house benefits attorney? Do you use an external| |

|benefits attorney, and which firm do you use? | |

|How does your firm stay current with state regulations that impact| |

|multi-state or multi-location employers? | |

|How will your firm notify us of changes in federal and/or local | |

|laws that would affect us? | |

|Explain what steps you have taken to become HIPAA compliant. | |

| | |

|What specific services, resources, and support are you provided | |

|related to the PPACA legislation? | |

| | |

FEES

|Please respond briefly in the space provided | |

|Describe your proposed form of compensation (e.g., commission, | |

|annual retainer, fee-for-service). If you are proposing a fee, | |

|please include your fee schedule and/or hourly rates. Please | |

|disclose your client policy on carrier bonus payments. | |

|If you charge fees for consulting and employee communication, | |

|please indicate the basis of your charges (hourly, by project, | |

|etc.) and what typical charges might be. | |

| | |

REFERENCES/OTHER

|Please respond briefly in the space provided | |

|How many clients of similar size to our company have you lost in | |

|the last three (3) years? Explain why? Please provide at least | |

|one as a reference including: name, address, phone number, and | |

|length of time associated with your organization. | |

|Please provide a list of references that include: name, address, | |

|phone number, and length of time associated with your | |

|organization. Indicate whether your firm’s role was as a broker, | |

|consultant, or both. | |

| | |

|Describe any other facets of your organization and your firm’s | |

|experience that are relevant to this proposal that have not been | |

|previously described and that you feel warrant consideration. | |

| | |

| | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download